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Deactivated NPI 1275600538 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth R Davis , MD PA

Anesthesiology • San Antonio, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2006
NPI Deactivation Date January 29, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Davis, MD PA was a registered Anesthesiology practicing in San Antonio, TX. Throughout an active medical career spanning 14 years, Dr. Davis provided care at the practice location at 16607 BLANCO RD until profile deactivation on 2020-01-29.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for procedure on eyelid, anesthesia for procedure on eye. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

16607 Blanco Rd
Suite 303

San Antonio, TX 782321913

Telephone 2104851846
Fax 2103992731
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in San Antonio, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.7 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
437 Specialists

Practicing in San Antonio, TX (4818 Statewide)

Telehealth Adoption Rate
0.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
166 147 $457.25 $122.88

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License TX K5890

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1205035409

Doctor of Medicine (M.D.)

Dr. Ted Chiang , MD

Anesthesiology

NPI 1922026509

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated January 29, 2020

Record deactivated on January 29, 2020

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Updated Practice Location February 25, 2019

Registered at 19522 BROOKE PL, SAN ANTONIO, TX 782582784 (Tel: 2104851846)

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Updated Business Mailing Address February 25, 2019

Registered at 5359 WAR HORSE DR, SAN ANTONIO, TX 782423013 (Tel: 2104851846)

NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2016

Registered at 16607 BLANCO RD, SUITE 303, SAN ANTONIO, TX 782321913 (Tel: 2104851846)

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Updated Business Mailing Address August 22, 2016

Registered at 16607 BLANCO RD, SUITE 303, SAN ANTONIO, TX 782321913 (Tel: 2104851846)

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Provider Name / Credentials Updated August 22, 2016

Recorded as KENNETH DAVIS, MD PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Anesthesiology (License #K5890 in TX)

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Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275600538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: August 22, 2016
Deactivation Date: January 29, 2020

Mailing Address

16607 Blanco Rd, Suite 303

San Antonio, TX 782321913

Phone: 2104851846

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.